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Louisiana rates for HCPCS J9307

Injection Pralatrexate 1 Mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.08 / $408.27 / $828.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $471.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.27 / $212.98 / $366.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.55 / $366.47 / $373.80
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$370.40 / $370.40 / $392.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.63 / $392.63 / $392.63
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.33 / $392.63 / $432.87